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backs (Read 7101 times)

webbo

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backs
August 10, 2009, 11:16:49 am
i'm after advice re my lower back.i have had problems for several years since being knocked off my bike.i see the osteopath once a month for an m.o.t. and do all the re comended exercises.but i still get problems of it going into spasm.recently this to be being caused by jumping on to the mats at the wall and getting a whiplash effect.
no one else at my local wall seems to have problems.
any suggestions.

The Sausage

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#1 Re: backs
August 10, 2009, 12:21:35 pm
What exercises have you been given? Did you have it X-rayed at the time of the accident? Do you get any symptoms going into your buttocks or legs, if so specifically where? i always thought osteos just did the manipulation thing?

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#2 Re: backs
August 10, 2009, 12:55:19 pm
Yoga or a chiropractor.

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#3 Re: backs
August 10, 2009, 01:14:59 pm
That sounds exactly like what my lower back was like last year.  It spasmed loads whenever jumping down but mainly when leaning back, like on roof problems.  The physio I saw at the Sheffield Centre for Sports Medicine explained that, for me at least, my core muscles were as weak as anything she'd ever seen and that all my core stability was being done, or not in my case, by the lower back muscles along the spine, which were clearly being very overworked.  I basically did loads of core exercises similar to Pilates to develop their strength and gave myself the best part of a year off bouldering (I did spend the year biking though) to enable my core to relearn what it was that it was supposed to be doing when I moved and did things.  This also allowed by lower back muscles to learn what they were supposed to be doing too.  I've not had any problems since and was back to my old level climbing until I broke my collarbone recently.

You might be seeing something similar but I would definitely see a physio about it.  I saw chiropracters and the lot but a physio was the one that worked, however it did need the biggest investment from me in terms of applying myself to the exercises given.

BP

webbo

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#4 Re: backs
August 10, 2009, 01:55:10 pm
What exercises have you been given? Did you have it X-rayed at the time of the accident? Do you get any symptoms going into your buttocks or legs, if so specifically where? i always thought osteos just did the manipulation thing?
i had an xray at the time of the accident.how good it was is debatable as i was sent home then called back in the next day to be told i'd got 3 broken ribs.the exs i do are mckenzies,knee(s) up to chest,cats and dogs.
my osteo has given me same exs as when i saw a physio but will also do manipulation and massage.   

webbo

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#5 Re: backs
August 10, 2009, 01:58:22 pm
That sounds exactly like what my lower back was like last year.  It spasmed loads whenever jumping down but mainly when leaning back, like on roof problems.  The physio I saw at the Sheffield Centre for Sports Medicine explained that, for me at least, my core muscles were as weak as anything she'd ever seen and that all my core stability was being done, or not in my case, by the lower back muscles along the spine, which were clearly being very overworked.  I basically did loads of core exercises similar to Pilates to develop their strength and gave myself the best part of a year off bouldering (I did spend the year biking though) to enable my core to relearn what it was that it was supposed to be doing when I moved and did things.  This also allowed by lower back muscles to learn what they were supposed to be doing too.  I've not had any problems since and was back to my old level climbing until I broke my collarbone recently.

You might be seeing something similar but I would definitely see a physio about it.  I saw chiropracters and the lot but a physio was the one that worked, however it did need the biggest investment from me in terms of applying myself to the exercises given.

BP
i don't have problems leaning back on overhangs.however i have had it going in to spasm following a hard/long session on the bike.how do you work out whether you've got weak core muscles.

SA Chris

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#6 Re: backs
August 10, 2009, 02:00:26 pm
I broke my collarbone recently.

How is that going by the way phil?

I agree regarding core stability, I know I often rely on back muscles too much when core should be doing it's share and feel it in my lower back a couple of days after.

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#7 Re: backs
August 10, 2009, 02:31:47 pm
i've had some problems as well. my lower back muscles seem to be overdeveloped and the chinch the spine too tight. this gets worse after dead hanging on the fingerboard, because often you push your legs back in the effort of staying put. obviously this has alot to do with attaching weights to your waist, on the front. they cause an even bigger rotation of the pelvis and they tighten the back even more.
so now i use weights attached on the back (when i use them).
then, i do alot of abs (esp lower ones) and stretching for my back.
good luck.

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#8 Re: backs
August 10, 2009, 09:56:57 pm
how do you work out whether you've got weak core muscles.

Good question.  I didn't think mine were that bad, though admittedly I'm not ripped with a six pack.  If I remember correctly my core strength was tested by getting me to resist various movements and basically seeing how strong or weak they were. 

I broke my collarbone recently.

How is that going by the way phil?

Not bad Chris.  Its pretty much healed and I've been back on my road bike for a week now and did a long 87km ride on Sunday with no ill effects.  Its still weak in certain positions but otherwise getting there.  How was the Alps?  Did you get on the bike?  I'm still gutted I didn't go as it sounded great.

BP

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#9 Re: backs
August 13, 2009, 12:55:50 pm
What exercises have you been given? Did you have it X-rayed at the time of the accident? Do you get any symptoms going into your buttocks or legs, if so specifically where? i always thought osteos just did the manipulation thing?
i had an xray at the time of the accident.how good it was is debatable as i was sent home then called back in the next day to be told i'd got 3 broken ribs.the exs i do are mckenzies,knee(s) up to chest,cats and dogs.
my osteo has given me same exs as when i saw a physio but will also do manipulation and massage.   

It sounds like you haven't been seen by a decent physio - has anybody given you any idea of what they think it is. The most likely thing (although without a proper assessment, this is merely groping in the dark), is weak core stability, which is what bigphil describes. Basically, you have a deep layer of muscle (transversus abdominis + internal and external obliques), which forms a cylinder around from your spine, attaches along your lower ribs and around the ring of bone formed by your pelvis, and joins together at the front (the linea alba i think it's called). Your diaphragm forms the roof of the cannister, and your pelvic floor the base. There are also little muscles between each of your vertebrae (multifidus). These muscles generate internal abdominal pressure by contracting when you move or pick something up.

Without them working properly (and they often don't), your superficial layer of muscles work to stabilise, but they're not very good at it for 2 main reasons 1) they need to move you, and struggle to do two jobs at once, and 2) they are designed for sustained, low level contractions (this is demonstrated by trying to hold a smallish weight in a bent arm, like a shopping bag, for the time it takes you to walk to your car - your bicep doesn't really like it, even if you do a 1-armer).

Anyway, Mckenzie is total shit, and all those other exercises will just stretch and/or exercise the movement muscles. As bigphil says, core stability exercises take a while to work. They're difficult to learn because they're all about control of movement. Pilates exercises are based on the principles of core stability, but you need to get properly assessed by a recommended physio. Where do you live?

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#10 Re: backs
August 13, 2009, 06:59:11 pm
What exercises have you been given? .... core stability exercises take a while to work. They're difficult to learn because they're all about control of movement. Pilates exercises are based on the principles of core stability, but you need to get properly assessed by a recommended physio. Where do you live?

Hi Joe

What exercises would you recommend ?

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#11 Re: backs
August 14, 2009, 07:50:37 am

Hi Joe

What exercises would you recommend ?

Hi Simon,
They're not possible to describe. They're based around maintaining lumbar spine position while doing other movements. When you start them, you'll probably have no idea what your lumbar spine is up to, and you'll find it very difficult to control it's position. This is why you need someone there to give you feedback on what is happening.
They're not about developing your 'core' in the climbing sense of the word, although ultimately they will help.
see you
Joe

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#12 Re: backs
August 14, 2009, 08:34:03 am
joe
i live in the badlands of east yorkshire but work in hull.i've be referred to the community physio dept of our trust through occ health.i told them it was effecting my work :whistle:.however i'm not sure how good they are as in the past i saw somebody there with a neck/shoulder problem.he said i wasn't built for climbing and i should stop.hey ho. 

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#13 Re: backs
August 14, 2009, 10:21:49 am
Anyway, Mckenzie is total shit, and all those other exercises will just stretch and/or exercise the movement muscles.
I think that is a bit harsh.  General exercises are often at least as helpful as core stability ones.  Click here for shameless self-promotion.

It sounds like you haven't been seen by a decent physio - has anybody given you any idea of what they think it is. The most likely thing (although without a proper assessment, this is merely groping in the dark), is weak core stability, which is what bigphil describes. Basically, you have a deep layer of muscle (transversus abdominis + internal and external obliques), which forms a cylinder around from your spine, attaches along your lower ribs and around the ring of bone formed by your pelvis, and joins together at the front (the linea alba i think it's called). Your diaphragm forms the roof of the cannister, and your pelvic floor the base. There are also little muscles between each of your vertebrae (multifidus). These muscles generate internal abdominal pressure by contracting when you move or pick something up.

Without them working properly (and they often don't), your superficial layer of muscles work to stabilise, but they're not very good at it for 2 main reasons 1) they need to move you, and struggle to do two jobs at once, and 2) they are designed for sustained, low level contractions (this is demonstrated by trying to hold a smallish weight in a bent arm, like a shopping bag, for the time it takes you to walk to your car - your bicep doesn't really like it, even if you do a 1-armer).
Core stability exercises clearly work for some people but whether they work by changing core stability in any meaningful way is much less clear.   I think we have to be careful about extrapolating findings from 15 Queensland University students with mild back ache to absolutely everyone with a painful back as has tended to happen.

i'm after advice re my lower back.i have had problems for several years since being knocked off my bike.i see the osteopath once a month for an m.o.t. and do all the re comended exercises.but i still get problems ...
To state the bleedin' obvious...you need something a bit different to what the osteopath is offering.  Despite the above, 'something' may well be core stability training but no one can tell without seeing you.  The community physio. will be a generalist, a ‘GP’ rather than a consultant.  You might be lucky and get one who is particularly interested in people with back problems but the probability is they wont be.  You need to see a good, specialist, physiotherapist.  

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#14 Re: backs
August 14, 2009, 11:40:01 am
I think this: http://www.sportsinjurybulletin.com/archive/back.php is a pretty good resource. Stuff at the top is a lot of advertising, but lower down there is a bunch of free articles that might give you some exercises that suit. Generally pretty well researched, and not always the bog-standard stuff - i.e. often designed for injured athletes rather than people who just need to be able to sit at a desk without pain.

I had a crappy back for about 2-3 years after university as a result of martial arts, weight lifting and a crappy bed, and fundamentally bad posture. Saw physios, doctors and an osteopath. In the end what has made it better (it still goes sometimes but it's a hell of a lot better) has been a focus on maintaining good posture, and educating my core muscles to work properly, as described above.

Hope you get it sorted out, back pain really sucks.

webbo

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#15 Re: backs
August 14, 2009, 11:41:42 am
my experience in seeing physios and i have seen a few in my time is they all tend to generalist in nature and they never seen to look at things in a holistic way.
where will i find a specalist physio or will the physio i see refer me on if they can't deal with the problem.

webbo

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#16 Re: backs
August 14, 2009, 12:55:22 pm
just this very moment i have recieved from our occ health dept. "THE BACK BOOK"
the best way to deal with back pain - get back active
based on the latest research



there are two types of sufferer

one who avoids activity :(
and one who copes :)

give me fucking strength i could have written this myself.

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#17 Re: backs
August 14, 2009, 01:16:20 pm
Database of physiotherapy private practitioners.

Best bet is through personal recommendation of course.  As the main focus of treatment will be on exercises to do in your own time (probably), you shouldn't need to attend very often and it might be worth travelling for someone good.

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#18 Re: backs
August 14, 2009, 01:37:37 pm
2 things that really helped my back were a memory foam mattress and a really good office chair. These and really concentrating on good posture have meant I've been spasm free for nearly 2 years. Have done sod all for the fucked elbow though.

webbo

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#19 Re: backs
August 14, 2009, 02:03:40 pm
i too have memory foam mattress and i've followed every exercise regime i've been given.however as i said above i still get it going into spasm.
what i struggle with is last thursday and friday i was in spasm.sat i could manage to walk for 11/2 hours which futher eased it.sun managed 21/2 hours on my bike.mon swiss ball exs followed by dead hanging session.tues 11/2 hours interval session on bike.wed session down the wall although i didn't jump off from too high. thurs 31/2 hours hilly bike ride.today its like i don't have a back problem.
also every morning 1st thing i did the back exs out of the pain free book plus mckenzies. 

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#20 Re: backs
August 14, 2009, 05:27:56 pm
i too have memory foam mattress and i've followed every exercise regime i've been given.however as i said above i still get it going into spasm.
what i struggle with is last thursday and friday i was in spasm.sat i could manage to walk for 11/2 hours which futher eased it.sun managed 21/2 hours on my bike.mon swiss ball exs followed by dead hanging session.tues 11/2 hours interval session on bike.wed session down the wall although i didn't jump off from too high. thurs 31/2 hours hilly bike ride.today its like i don't have a back problem.
also every morning 1st thing i did the back exs out of the pain free book plus mckenzies. 
Jesus mate if I followed an excersise regime like that I have a fucked back, good effort.

webbo

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#21 Re: backs
August 15, 2009, 07:27:23 pm
that was nothing i even managed 4 days without a glass(bottle) of wine. :alky:

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#22 Re: backs
August 17, 2009, 01:11:07 pm
Unless you've a truly serious issue, for example where the wrong kind of manipulation could get one into trouble.  I'd recommend considering a winter break in Thailand, where an hours Thai massage will set you back 3 or 4 quid.  As opposed to the 40 pounds I pay for 50 minutes sports massage in Britain. 

Obviously excessive if you've no interest in travelling in that country, but if you're heading out there (and hundreds of thousands do) I'd get stuck in w/ 3 sessions a week.  When it comes down to it, there's not too great a difference between that which you will find there, and in Europe.

The masseurs are way fitter too, and if you slip them an extra hundred baht or so, they might even suck your old chap  :)

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#23 Re: backs
August 18, 2009, 11:36:03 am
Your old chap!

Your old chap!!!??

you make it sound like it's your granddad! Then again - at a guess, old, wrinkly, smelling of piss...

I dunno,

Your old chap....

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#24 Re: backs
August 18, 2009, 01:26:42 pm
After that sort of 'happy ending' massage you defo won't be thinking about your back pain anymore...

Can imagine the back pain might reoccur at daily intervals though.

 

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